The Claims Supervisor manages a team of direct reports, ensuring adherence to quality, productivity, and customer service standards while complying with company policies. This role involves supervising daily operations, assisting with staff onboarding, ensuring regulatory compliance, and providing technical guidance on complex claims issues.
Remote Jobs & Work From Home Positions in United States (122,654)
Remote in = United States
The Clinical Auditor will conduct DRG validation reviews of medical records to determine the accuracy of billing and coding, verifying documentation to establish the correct DRG assignment. This involves accurately documenting findings and providing clinical, policy, or regulatory support for all determinations made during the review process.
SkillBridge Intern - Platform Engineer
Defense Unicorns
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Internship
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10 Weeks Ago
Defense Unicorns
The engineer will automate and build a runtime Production Environment, acting as a link between applications and that environment while advocating best practices. Responsibilities include validating solutions, independently solving problems, understanding medium-level tasks, and estimating time and effort for tasks.
Business Development Manager - Mid-Atlantic
The Edlong Corporation
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Full Time
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10 Weeks Ago
The Edlong Corporation
The Business Development Manager is responsible for driving sales growth and profit by developing and maintaining strong client relationships within the food and beverage industry, ensuring the annual sales budget for the territory is met. This involves strategic planning, market analysis, and collaborating cross-functionally to deliver tailored flavor solutions and achieve growth objectives.
This senior individual contributor role is responsible for owning the end-to-end GTM data model, defining metrics, attribution logic, and analytical foundations to ensure predictable revenue performance. Key duties include designing scalable data structures, creating a semantic layer for consistent reporting, and building BI dashboards that influence GTM strategy.
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This role acts as the first point of contact for customer support inquiries, focusing on triaging issues, resolving common technical questions related to API usage, onboarding, and billing. Responsibilities include escalating complex issues to senior teams with clear documentation and participating in an on-call rotation.
The specialist analyzes and monitors claims audit data, performing follow-up activities to ensure accurate reimbursement for healthcare providers by identifying and resolving payment variances. Key duties involve analyzing and repricing claims to meet contractual agreements and establishing accurate pricing structures.
This role involves collaborating on the end-to-end go-to-market strategy and execution for GitLab Duo Agent Platform and AI capabilities, focusing on intelligent orchestration for software teams and their AI agents. The lead will define the positioning and narrative for GitLab's AI capabilities, ensuring unified workflows across DevOps, Security, and AI, while developing monetization strategies for usage-based offerings.
The Solutions Architect will partner with customers post-sale to design and implement secure deployments of AI security solutions, acting as the primary technical point of contact for onboarding, troubleshooting, and optimization. This role also involves providing expert technical guidance on infrastructure and containerization while capturing customer feedback to inform product enhancements.
The role involves developing a business plan to exceed sales goals and managing the entire sales ecosystem from initial lead generation through to closing deals. Responsibilities also include clearly articulating Cribl's value proposition to various organizational levels and ensuring predictable forecasting to hit sales targets.
The Senior Account Director acts as a senior client leader, driving strategic initiatives and guiding cross-functional teams to deliver high-quality, effective work aligned with brand objectives. This role involves leading day-to-day client engagement, shaping briefs, presenting work, and partnering with leadership on long-term account strategy and growth.
Global Developer Engagement Representative, Part-Time, Contractor
Roblox
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Full Time
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10 Weeks Ago
Roblox
This role involves supporting the planning and execution of global developer engagement initiatives, including organizing both online and in-person events for learning and collaboration. You will also build relationships with creators and identify high-potential developers building innovative experiences on the Roblox platform.
The Salesforce QA Tester will develop and execute comprehensive test plans, test cases, and scripts to validate Salesforce functionality, configurations, and customizations. This role involves conducting functional, integration, system, and regression testing while identifying, documenting, and tracking defects.
This senior individual contributor role involves end-to-end ownership of the EV charging product ecosystem, covering software platform, hardware integration, interoperability standards, payments, and onsite customer experience. Responsibilities include defining product requirements, managing delivery, validation, and iteration across the full product lifecycle in collaboration with cross-functional teams.
This role involves owning the long-term vision and strategic roadmap for the core engine of PrizePicks, covering the entire player journey from acquisition to payments and compliance. The director will also serve as a senior leader, frequently presenting product health and strategy to the executive team and stakeholders.
Business Development Representative (1099 | Commission-Only | Staffing & Recruiting)
Talent Connection
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Full Time
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10 Weeks Ago
Talent Connection
The primary focus is generating new client relationships within engineering and technology hiring by identifying companies needing technical talent. Responsibilities include reaching out to decision-makers, introducing recruiting services, scheduling introductory meetings, and building prospective client relationships.
The Senior Data Engineer will lead the design and implementation of scalable, robust data architectures and build complex ETL/ELT pipelines integrating data from diverse sources. This role involves owning high-impact projects end-to-end, providing technical leadership, and enforcing data engineering best practices.
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The scientist will be responsible for innovating Machine Learning algorithms to maximize return on investment and advertising performance, ranging from creating new algorithms to improving state-of-the-art methods. This includes writing production code, often collaborating with Data Engineers, to implement novel ML algorithms, as well as prototyping, testing, and iterating on potential algorithms and pipelines using historical data.
The Staff Software Engineer will lead the design and delivery of large-scale, mission-critical backend systems for Payments & Wallet, driving architectural decisions and establishing engineering best practices. This role involves building highly scalable, fault-tolerant, and financially correct systems in a regulated environment while leading cross-team initiatives.
The Strategic Sales Representative will focus on driving significant growth within the Business Communications Solutions unit by targeting and securing high-value, strategic accounts. Responsibilities include proactively identifying opportunities, organizing discovery meetings, developing business plans for accounts, and preparing clear written proposals.
The administrator is responsible for maintaining and enhancing the ChangePoint system, ensuring architecture and development adhere to best practices for reliability and scalability. Key duties include managing system issues, updating the system, working with back-end data changes, and resolving system defects.
The Senior Fullstack Engineer will own the Identity Platform foundation, designing and extending enterprise authentication infrastructure including SAML SSO, SCIM, OAuth/OIDC, and MFA to ensure reliable, consistent, and secure customer experiences. This role involves owning user session propagation across a multi-service platform and building enterprise authentication controls and compliance APIs consumed by dozens of internal teams.
This role involves building and maintaining full-stack features across the UI, API layer, business logic, and data models, focusing on designing and implementing complex rule engines for pricing, inventory, and constraint logic. The engineer will also architect scalable systems and develop configuration experiences where users navigate complex choices.
The Director of Revenue Operations will be responsible for building and scaling the entire RevOps function, owning systems, data, and operating cadence across Sales, Marketing, and Customer Success. This involves defining priorities, establishing roadmaps, and creating the foundational infrastructure to power growth.
This role is responsible for building and operating the integrated campaign engine across digital, lifecycle, and account-based programs to consistently generate marketing-sourced pipeline. Key activities include planning and executing integrated campaigns such as report launches, webinars, account-based plays, and nurture sequences.
This senior leadership role owns end-to-end omnichannel creative strategy, translating performance data into executive narratives, and defining evergreen creative systems and testing frameworks across client accounts. The director will also lead, mentor, and develop a team of Creative Strategists while setting quality standards for strategy and analysis.
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Inspectors are responsible for scheduling audits and inspections within assigned time frames and traveling varying distances to complete them. They must use a mobile application to identify equipment, photograph assets and damage, and submit completed reports on time.
Remote Contract-based South Carolina Family Law Paralegal Opportunity - 20+ Hours per Week
The Freelance Firm, LLC
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Full Time
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10 Weeks Ago
The Freelance Firm, LLC
The paralegal will provide remote, on-demand support for short-term and long-term legal projects, focusing on South Carolina Family Law matters for client law firms. Responsibilities include drafting necessary legal documents, conducting research, and managing schedules for hearings and depositions.
This professional will be responsible for the installation, maintenance, and monitoring of network, server, and telecom hardware, completing hands-on implementation, upgrading, and troubleshooting of the infrastructure. They will also design and implement network communications and server solutions, and create and maintain small scope project plans.
The Senior Manager will serve as the functional area lead on product teams, leading writing activities for complex product submissions, providing functional expertise, and mentoring junior writers. Key duties involve authoring or overseeing the creation of all regulatory submission documents and conducting formal review and approval processes.
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